Teacher Support - Delphi Stained Glass

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Welcome Art Teachers! Please fill out this is the application to apply for your Educator Discount Pricing. For businesses and professional studio artists, please use the Business Wholesale Application instead.

> Required Information - * denotes required field

*First Name:		*Last Name:


*Billing Contact Name:		*Billing Contact Email:


*Billing Contact Phone:


*Email Address:		*Title/Position:


*School or Institution Name:		*School District Name:


*Street Address:		Street Address 2:


*City:		*State/Province:



*Country:		*Zip/Postal Code:


*Daytime Phone Number		Evening Phone Number


*Are you currently a Delphi Customer? Yes No

If you are a current Delphi customer please enter your customer number:

Grades Taught:
K-5 6-8 9-12 College Other (specify) Where did you hear about Delphi? I would like to receive Delphi's Art Educator E-Mail Newsletter featuring new arts, project and lesson plans, supplies and special offers.

> Optional Information
Main Areas of Interest: Stained Glass Fused Glass Jewelry Mosaics

Experience with Stained Glass:		Experience with Fused Glass:


Experience with Mosaics:		Plan on starting glass art, mosaic or jewelry project to the classroom:


Comments About your School or Institution:

> Login Information - * denotes required field
*Choose a UserName:


*Choose a Password:		*Confirm Password:


*Login Hint:

By clicking on the above "Register" button, you are agreeing to Delphi's Educator Terms & Conditions

Teacher Registration